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NPI Code Detail

MEDICARE: RACHEL UGOALA

MEDICARE: RACHEL UGOALA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner008104MD

General Provider Information

NPI Number : 1598629909
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL UGOALA
Provider Business Mailing Address
First Line : 3750 UNIVERSITY BLVD W STE 101
Second Line :
City : KENSINGTON
State : MD
Zip : 20895-2136
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3750 UNIVERSITY BLVD W STE 101
Second Line :
City : KENSINGTON
State : MD
Zip : 20895-2136
Country : US
Telephone Number : 240-616-1616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ RACHEL UGOALA ” Practice Location

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